SHANNON CALLAGHAN LPCC
NPI 1083397152
Counselor - Mental Health in Tustin, CA

Active since August 07, 2023PECOS Enrolled
13681 NEWPORT AVE STE 8-440, TUSTIN, CA 92780(800) 778-1772 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Callaghan Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CALLAGHAN LPCC (NPI 1083397152) is an individual mental health provider in Tustin, California, licensed in California (14247) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083397152
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON CALLAGHANCredential: LPCC
Location Address13681 NEWPORT AVE STE 8-440Tustin, CA 92780-4689
Mailing Address13681 Newport Ave Ste 8-440Tustin, CA 92780-4689 · (800) 778-1772
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1083397152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 14247
13681 NEWPORT AVE STE 8-440, Tustin, CA 92780

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Callaghan Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961971080
PECOS Enrollment IDI20260519001542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Callaghan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
24422 AVENIDA DE LA CARLOTA STE 190
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Callaghan's NPI number?

The NPI number for Shannon Callaghan is 1083397152. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Shannon Callaghan located?

Shannon Callaghan practices at 13681 Newport Ave Ste 8-440, Tustin, CA 92780. The listed phone number is (800) 778-1772.

What is Shannon Callaghan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Callaghan enrolled in Medicare?

Yes. Shannon Callaghan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Callaghan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Callaghan reassigns Medicare benefits to Sensible Care, A Medical Corporation (Laguna Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Callaghan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Callaghan was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.